How to Become a Neonatal Nurse (NICU) (2024)

1. Understand the specialized role of a neonatal nurse

Neonatal nurses possess the knowledge and training in neonatology to care for babies from the time of birth until they are discharged from the hospital.

According to the National Association of Neonatal Nurses (NANN), survival rates of babies born prematurely or who become ill after birth are 10 times better today than they were 15 years ago, thanks to medical advances and the efforts of the physicians, surgeons and NICU nurses who care for them.

Is becoming a neonatal nurse the right career choice for you? If you have an affinity for babies and a calm, confident demeanor , you might be an ideal candidate to be a difference-maker for infants and their families.

There are many different types of nurses you can become, including other options working with children, such as becoming a pediatric nurse or labor and delivery nurse. You can take our nursing personality quiz to determine what kind of nursing is best for you.

Where do neonatal nurses work?

Neonatal nurses typically end up working in a neonatal intensive care unit (NICU) of a clinic, hospital or medical center. The level of care you’ll be responsible for administering will depend on the type of facility where you’re employed.

For example, if you work in a Level II NICU in a community hospital, your infant patients will likely require help with breathing, feeding or with medications. If you get hired as a neonatal nurse at larger medical center or children’s hospital, you’ll likely work in a Level III NICU where your patients require far more sophisticated care. In some instances, you may be required to provide home care or follow-up visits to high-risk patients.

What will your workdays be like as a neonatal nurse?

Because of the fragile systems and round-the-clock needs your patients in the NICU will require, most neonatal nurses can expect to work 8 to 12-hour shifts. Weekends and holidays will also factor into your work schedule.

A typical day will have you providing highly specialized care for premature babies and very ill newborns. They may require anything from respiratory care to being fed through an IV to ensure their bodies become strong enough to sustain themselves and increase their chances of survival. On any given day, you may also be tasked with:

  • Keeping infants clean, warm and comfortable.
  • Monitoring vital signs like respiration and body temperature.
  • Weighing and measuring infants until they are discharged to go home.
  • Formulating neonatal nursing care plans with other healthcare providers on your team, including neonatologists and doctors.
  • Assessing, planning and implementing treatment.
  • Administering medication.
  • Working with modern, lifesaving technology and performing complex procedures.
  • Providing comfort, education and reassurance to concerned parents and family members.
  • Performing CPR and basic life support should it become necessary.

How much can you make as a neonatal nurse?

According to the Bureau of Labor Statistics (BLS), the average wage for registered nurses is $94,480 per year ($45.42 per hour).* Pay varies based on many factors such as years of experience, the type of healthcare facility, your specialty in nursing and the state in which you practice.

Registered nurses with specializations such as neonatal/NICU care require higher levels of training and experience—and have the potential to earn an above average salary.

What is the current job market for neonatal nurses?

The field of nursing overall is growing. The Bureau of Labor Statistics predicts a growth rate of 6% from 2022-2032 for registered nurses.* That’s good to know if you’re planning on becoming a neonatal nurse, but keep in mind the BLS also reports employers may prefer candidates with a Bachelor of Science in Nursing (BSN), relevant work experience and certification in their chosen area of specialization, neonatal nursing included.

How to Become a Neonatal Nurse (NICU) (2024)

FAQs

How to Become a Neonatal Nurse (NICU)? ›

Many schools have rolling admissions, which means you can start your Nursing program in a few weeks! It takes 4-6 years to become a NICU nurse. Neonatal nurses need a college degree and a state-issued license. Certifications can help professionals qualify for more career opportunities.

How long does it take to be a NICU nurse? ›

Many schools have rolling admissions, which means you can start your Nursing program in a few weeks! It takes 4-6 years to become a NICU nurse. Neonatal nurses need a college degree and a state-issued license. Certifications can help professionals qualify for more career opportunities.

Is it hard to get into NICU nursing? ›

Becoming a NICU nurse can be challenging as it requires extensive training, an advanced skill set and the ability to work in stressful environments. In addition to a nursing degree, nurses must gain around two years of clinical experience to begin working as NICU nurses.

What is the fastest way to become a neonatal nurse? ›

The fastest way to get a job as a neonatal nurse is to earn a two-year ADN degree and gain experience in pediatrics and well-baby care. For example, some nurses may be hired for labor and delivery, where they can develop experience working with newborns.

What is the difference between a neonatal nurse and a NICU nurse? ›

The job title “neonatal nurse” describes nurses who work with critically ill infants. NICU nurses work specifically in the neonatal intensive care unit. In other words, NICU nurses are neonatal nurses, but not all neonatal nurses work in the NICU.

Do NICU nurses work 3 days a week? ›

A full-time NICU RN may work three, 12-hour shifts in a seven day period. On-call shifts may also be required for NICU RNs. Since intensive care units are open 24 hours a day and 365 days a year, NICU nurses may be required to work during weekends and holidays.

Do NICU nurses go to medical school? ›

Earn an Accredited Nursing Degree

To earn licensure as a registered nurse (RN), a requirement for all neonatal nurses, each candidate must complete an accredited nursing education program. Available pathways include associate in nursing degrees (ADNs) and bachelor of science in nursing (BSN) programs.

Why is it so hard to be a NICU nurse? ›

3. A career as a NICU nurse requires excellent critical thinking skills. An infant's condition can change rapidly without warning, and this requires NICU nurses to be able to respond quickly and make difficult decisions in a short amount of time to help the patient recover.

Can you become a NICU nurse right out of college? ›

Technically, a nurse with an associate degree, RN licensure, and no additional experience could find work in a NICU. Most hospitals, however, only hire highly educated, experienced nurses for these positions.

What is the top pay for neonatal nurse? ›

$183,000

Can you start as a NICU nurse? ›

Gain clinical experience

Once you have become an RN, you can begin gaining clinical experience. If you are a new graduate or a nurse who wants to transfer into the NICU, you will likely need a minimum of two years of clinical experience in neonatal care focusing on: Labor and delivery. Pediatrics.

What age is a neonatal nurse? ›

Neonatal nursing generally encompasses care for those infants who experience problems shortly after birth, but it also encompasses care for infants who experience long-term problems related to their prematurity or illness after birth. A few neonatal nurses may care for infants up to about 2 years of age.

Do NICU nurses work a lot? ›

The Typical Workload For a NICU Nurse

NICU nurses provide 24-hour care for the babies in their unit. Across each shift, you will monitor the babies on your unit by: Preparing their medication and administering it. Making sure they are getting the right amount of fluid.

How long are NICU nurse shifts? ›

You may work during the day or overnight, but NICU Nurses are needed 24-hours a day at the hospital. Typically, a NICU Nurse can expect to work 12-hour shifts, three to four days a week, often consecutively.

What is the hardest part of being a NICU nurse? ›

Caring for neonates requires a great deal of precision, and any mistake made could have a drastic, negative effect on the baby in question. NICU care also requires making difficult decisions, since it's not always clear what treatment is best for the babies, especially in a crisis situation.

How competitive is NICU nursing? ›

A: It is very competitive to get a job as a nurse in the NICU. My advice to people interested in working in the NICU is to be proactive in seeking opportunities that will assist them later when they are ready to begin their nursing career. There are several ways to accomplish this.

Do NICU nurses hold babies? ›

Playing with Babies: Yes, a neonatal nurse gets to hold babies and receive good cuddles as needed.

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